REAGAN CLARK AA
NPI 1275417933
Peer Specialist in Pomona, CA

Active since August 04, 2025
300 S PARK AVE STE 750, POMONA, CA 91766(909) 326-0337 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reagan Clark Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGAN CLARK AA (NPI 1275417933) is an individual peer specialist in Pomona, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1275417933
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameREAGAN CLARKCredential: AA
Location Address300 S PARK AVE STE 750Pomona, CA 91766-1553
Mailing Address27224 Woodglen LnMoreno Valley, CA 92555-4534 · (951) 488-4819
Sole ProprietorYes
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1275417933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
300 S PARK AVE STE 750, Pomona, CA 91766

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
300 S PARK AVE STE 750
POMONA, CA 91766
Peer Specialist
300 S PARK AVE STE 750
POMONA, CA 91766
Peer Specialist
300 S PARK AVE STE 750
POMONA, CA 91766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reagan Clark's NPI number?

The NPI number for Reagan Clark is 1275417933. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Reagan Clark located?

Reagan Clark practices at 300 S Park Ave Ste 750, Pomona, CA 91766. The listed phone number is (909) 326-0337.

What is Reagan Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Reagan Clark was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.